Evergreen Brewton Medical, Inc.

NPI #1922234467 in Brewton, Alabama

Provider Information

NPI Number: 1922234467
Entity Type: Organization
Organization Name: Evergreen Brewton Medical, Inc.
Primary Specialty: Surgery
Enumeration Date: Jun 10, 2009
Last Updated: Jul 1, 2009

Practice Location

Address: 103 ELLIOTT ST
City: Brewton
State: Alabama
ZIP Code: 36426-1336
Phone: (251) 867-8001

Authorized Official

Name: CHRIS B GRIFFIN
Title: ADMINISTRATOR
Phone: (251) 809-8398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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